Quality of care and its determinants in rehabilitative mental health care across Europe

In 1984 all Member States of the European Region agreed on a Pan European Health Policy, popularly known as Targets for Health for All (Health for all targets, 1991).Among the 38 targets agreed, Target 31 states (table I).More recently the first meeting of national directors/officials of mental health services in the European Member States stated that “there should be greater concern about the quality of mental health care in each Member State, and mechanisms must be established to guarantee a quality service. These include: a.encouraging mental health care professionals to develop systems to monitor the quality of care;b.independent inspection of services;c.the participation of consumers and relatives;d.improving the basic and continuing training of mental health professionals as well as their working conditions;Special attention should be paid to the quality of care provided to those with severe long-term mental disorder, the elderly, children and adolescents. Barriers to care should be avoided, particularly for people with long-term mental disabilities.”The need for quality development and evaluation differ quite significantly across the European Region as a result of the existing differences in the pattern of mental health services and priority policies to be implemented.

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Nurses’ and Patients’ Perceptions of the Quality of Psychiatric Nursing Care in Jordan

Research and Theory for Nursing Practice ◽

10.1891/1541-6577.32.2.226 ◽

2018 ◽

Vol 32 (2) ◽

pp. 226-238 ◽

Cited By ~ 3

Author(s):

Wafa S. Alsyouf ◽

Ayman M. Hamdan-Mansour ◽

Shaher H. Hamaideh ◽

Khaled M. Alnadi

Keyword(s):

Mental Health ◽

Health Care ◽

Quality Of Care ◽

Mental Health Care ◽

Nursing Care ◽

Psychiatric Nursing ◽

Health Care Facilities ◽

Care Providers ◽

Care Facilities

Background:The quality of care provided for patients in mental health-care facilities remains a challenge for health-care providers in general and for nurses in particular. Identifying the level of quality of care provided for patients in mental health-care facilities as perceived by nurses and patients may help health-care providers improve the quality of care and improve patients’ outcomes.Objectives:The purpose of the study was to assess the perceptions of nurses and patients of the quality of nursing care, and explore the differences in their perceptions of quality of care in mental health-care facilities in Jordan.Methods:A cross-sectional study was conducted using two convenience samples of 123 nurses and 150 patients. The nurses completed the Karen-personnel instrument, a self-administered questionnaire; One hundred and fifty patients from several mental health-care facilities in Jordan were interviewed using the Karen-patient instrument. The interviews were structured.Results:Sixty-four percent of nurses rated the quality of psychiatric nursing care as satisfactory, and 47.6% of patients perceived the quality of nursing care as satisfactory. Male nurses, who attended courses in mental health nursing, chose to work in a psychiatric unit, committed to work in the future in a psychiatric unit, and were providing indirect care have significantly higher perception of quality of psychiatric nursing care than their counterparts. Patients in military hospitals have significantly higher perception of quality of psychiatric nursing care than those in governmental ones (p< .05).Implications for Practice:To improve the quality of care in psychiatric units, patients and nurses need to be educated about the quality indicators set by Joint Commission international standards related to mental health-care facilities.

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Preventing or inflicting risks? Carceral riskscapes and working in the spaces of mental health care

Fennia - International Journal of Geography ◽

10.11143/fennia.88950 ◽

2020 ◽

Vol 198 (1-2) ◽

pp. 121-134

Author(s):

Virve Repo

Keyword(s):

Mental Health ◽

Health Care ◽

Quality Of Care ◽

Mental Health Care ◽

Well Being ◽

Environmental Hazards ◽

Staff Members

This study participates in the discussion on risks and carceral spaces, and furthermore, introduces the concept of carceral riskscape. Since there is a strong, but less studied connection between risk and the carceral, this study combines these concepts to provide a new viewpoint on the mechanisms that create carceral spaces. Riskscapes represent spaces embedded with risk and they are usually referred to in connection with health or environmental hazards. The emphasis in this study is on the carceral riskscapes that working communities face in institutional premises. The study analyses the working culture of a geropsychiatric ward in Turku, Finland. Some of the staff members allegedly mistreated the patients and some of the carceral practices were also targeted at co-workers. The research is qualitative in nature and analyses documents from the inner reports to the trial documents. The findings of the study suggest that the relationships between staff members are significant in the context of carceral riskscapes. Furthermore, the carceral riskscapes cause inequalities and have influence on the well-being of the staff members as well as the quality of care.

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Interprofessional Collaboration on Mental Health: A Scoping Review

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.04.26 ◽

2020 ◽

Author(s):

Arista Kusuma Wardani ◽

◽

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Illness ◽

Quality Of Care ◽

Mental Health Care ◽

Scoping Review ◽

Interprofessional Collaboration ◽

Free Access ◽

Inclusion Criteria

ABSTRACT Background: The increasing prevalence rate of mental illness due to demographic changes became the burden of disease in primary health care. Effective interprofessional collaboration strategies are required to improve professional welfare and quality of care. Interdisciplinary teamwork plays an important role in the treatment of chronic care, including mental illness. This scoping review aimed to investigate the benefit and barrier of interprofessional collaboration approach to mental health care. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, ScienceDirect, and Willey Online library databases. The inclusion criteria were English-language, full-text, and free access articles published between 2010 and 2020. The data were reported by the PRISMA flow chart. Results: A total of 316 articles obtained from the search databases, in which 263 articles unmet the inclusion criteria and 53 duplicates were excluded. Based on the selected seven articles, one article from a developed country (Malaysia), and six articles from developing countries (Australia, Canada, Belgium, Norway) with quantitative (cross-sectional, surveillance) and qualitative study designs. The reviewed findings were benefit and barrier of interprofessional collaboration on mental health. Benefits included improve quality of care, increase job satisfaction, improve patient health status, increase staff satisfaction, increase performance motivation among employees, as well as shorter duration of treatment and lower cost. Barriers included hierarchy culture, lack of resources, lack of time, poor communication, and inadequate training. Conclusion: Interprofessional teamwork and collaboration have been considered an essential solution for effective mental health care. Keywords: interprofessional collaboration, benefit, barrier, mental health Correspondence: Arista Kusuma Wardani. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road Barat) No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: wardanikusuma[email protected]. Mobile: +6281805204773 DOI: https://doi.org/10.26911/the7thicph.04.26

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Applying a Bauhaus design approach to conceptualize an integrated system of mental health care: Lessons from a large urban hospital

FACETS ◽

10.1139/facets-2016-0016 ◽

2017 ◽

Vol 1 (1) ◽

pp. 173-186 ◽

Cited By ~ 1

Author(s):

Thomas Ungar ◽

Marlene Taube-Schiff ◽

Vicky Stergiopoulos

Keyword(s):

Mental Health ◽

Health Care ◽

Quality Of Care ◽

Mental Health Care ◽

Patient Care ◽

Health Care System ◽

Service Intensity ◽

Mental Health Care System ◽

Care System

We have applied a Bauhaus design lens to inform a visual conceptual framework for a rational mental health care system. We believe that Canada’s healthcare system can often be fragmented and does not always allow for service delivery to easily meet patient care needs. Within our proposed framework, the form of services provided follows patient- and healthcare-centred needs. The framework is also informed by the ethics and values of social responsibility, population health, and principles of quality of care. We review evidence for this framework (based on need, acuity, risk, service intensity, and provider level) and describe patient care pathways from intake/triage to three patient-centred tiers of care: (1) primary care (low needs), (2) acute ambulatory transitional care (moderate needs), and (3) acute hospital and complex care (high needs). Within each tier, various models of care are organized from low to high service intensity as informed by reports from the British Columbia Ministry of Health and the World Health Organization. We hope that our model may help to better conceptualize and organize our mental health care system and help providers clarify roles, responsibilities, and accountabilities to improve quality of care.

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Depressions Plural

10.1093/oso/9780198801900.003.0014 ◽

2017 ◽

Author(s):

K W M (Bill) Fulford ◽

David Crepaz-Keay ◽

Giovanni Stanghellini

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Personal Values ◽

The Political ◽

Medical Law ◽

Isaiah Berlin ◽

Political Philosopher

This chapter examines how values influence the heterogeneity of depression. The plurality of values is increasingly significant for contemporary person-centred mental health care with its emphasis on quality of life and development of self-manvnagement skills. Values-based practice is a partner with medical law invn working with the plurality of personal values. The chapter explains what values are, shows how the plurality of values influences the heterogeneity of depression at several levels, and provides an overview of values-based practice. It looks at the resources available for combining values-based practice with medical law in contemporary person-centred care and indicates some of the challenges this raises. It concludes with a brief reflection on these challenges understood as an instance of what the political philosopher Isaiah Berlin called the challenge of pluralism.

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The Quality Mental Health Care Network: A roadmap to improving quality mental healthcare in Canada

Healthcare Management Forum ◽

10.1177/0840470420974713 ◽

2021 ◽

Vol 34 (2) ◽

pp. 100-106

Author(s):

Emily J. Follwell ◽

Siri Chunduri ◽

Claire Samuelson-Kiraly ◽

Nicholas Watters ◽

Jonathan I. Mitchell

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Focus Groups ◽

Lived Experiences ◽

Mental Healthcare ◽

Care Network ◽

Key Informant ◽

Health Care Network

Although there are numerous quality of care frameworks, little attention has been given to the essential concepts that encompass quality mental healthcare. HealthCare CAN and the Mental Health Commission of Canada co-lead the Quality Mental Health Care Network (QMHCN), which has developed a quality mental healthcare framework, building on existing provincial, national, and international frameworks. HealthCare CAN conducted an environmental scan, key informant interviews, and focus groups with individuals with lived experiences to develop the framework. This article outlines the findings from this scan, interviews and focus groups.

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